Participant Info

Membership Number
3340
Salutation
First Name
Seth J
Middle/Maiden/Previous
Last Name
Throckmorton
Address 1
4500 Anderson
Address 2
City
Shawnee
Zip Code
66226
Phone
Work Code #
Date of Birth
Date of Death
Deceased At Join?
Comments
Name/Location of Company Worked
Dates of Work
Type of Work
Rosie Name if Rb or Rv
Is/Was Rosie a member of ARRA?
Contact Name (Deceased Rosie Contact)
Contact Email Address
Contact Phone Number